Botox for migraine cost in Portland, OR
In Portland-Vancouver-Hillsboro, OR-WA, 6 hospitals list a cash price for Botox injections for chronic migraine: from $279.50 to $871.65, with a median of $279.50. The lowest listed price is at Legacy Meridian Park Medical Center and 4 other hospitals. Across Oregon, the median is $279.50 at 8 hospitals.
Cash prices at 7 facilities across 4 cities for code 64615, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Mar 23, 2026 and Apr 1, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Portland-Vancouver-Hillsboro, OR-WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Legacy Meridian Park Medical Center lowest Tualatin, OR · (503) 692-1212 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $279.50 | $430.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center lowest Vancouver, WA · (360) 487-1000 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $279.50 | $430.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $279.50 | $430.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center lowest Portland, OR · (503) 413-7682 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $279.50 | $430.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $279.50 | $430.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $279.50 | $430.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center lowest Portland, OR · (503) 413-2200 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $279.50 | $430.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Mount Hood Medical Center lowest Gresham, OR · (503) 674-1122 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | $279.50 | $430.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC AN CHEMODENERAVATION MUSCLES | $349.70 | $538.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC AN CHEMODENERAVATION MUSCLES | $349.70 | $538.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Mount Hood Medical Center Gresham, OR · (503) 674-1122 HC AN CHEMODENERAVATION MUSCLES | $349.70 | $538.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Good Samaritan Medical Center Portland, OR · (503) 413-7682 HC AN CHEMODENERAVATION MUSCLES | $349.70 | $538.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC AN CHEMODENERAVATION MUSCLES | $349.70 | $538.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Emanuel Medical Center Portland, OR · (503) 413-2200 HC AN CHEMODENERAVATION MUSCLES | $349.70 | $538.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Meridian Park Medical Center Tualatin, OR · (503) 692-1212 HC AN CHEMODENERAVATION MUSCLES | $349.70 | $538.00 | — | 35% | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver, WA · (360) 487-1000 HC AN CHEMODENERAVATION MUSCLES | $385.45 | $593.00 | — | 35% | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 INJECTION OF CHEMICAL FOR PARALYSIS OF FACIAL AND NECK NERVE MUSCLES ON BOTH SIDES OF FACE | $871.65 | $1,341.00 | $136.15–$4,569.31 | 35% | — source file |
| PeaceHealth Southwest Medical Center Vancouver, WA · (360) 256-2000 CHEMODENERV MUSC MIGRAINE | $897.65 | $1,381.00 | $136.15–$4,569.31 | 35% | — source file |
| Oregon Health & Science University both sides Portland, OR · (503) 494-9000 HB Chemodenerv Muscle, Bilateral, for Migraine | $239.20 | $368.00 | $70.66–$861.71 | 35% | Mar 23, 2026 source file |
Outpatient: lowest $279.50, median $279.50, highest $871.65 — a 3.1× difference within the same market.
Both sides : lowest $239.20, median $239.20, highest $239.20.
As an inpatient, the same code is billed by 5 facilities here, median $279.50. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At the one hospital here that publishes insurer rates for this code, the cash price is below the highest rate a health plan has negotiated. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
This code covers injecting botulinum toxin into muscles of the head and neck to prevent chronic migraine, usually every 12 weeks.
What the price covers
The price usually covers the injection. The steroid or other medicine may be billed separately.